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Published on: November 19, 2019
Exploring ethical dilemmas in vascular surgery practice. A Qualitative study
Evangelos C Fradelos1, Eleni Tsimitrea1, Elias Tsagalas2
1Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, Larissa, Greece.
Background:
Vascular surgery practice presents a variety of ethical dilemmas for vascular surgeons and nurses.
Aim:
The present study aimed to explore the ethical dilemmas that healthcare professionals are facing in vascular surgery practice.
Methods:
Qualitative study design was employed in this study. Two focus group were conducted using a semi-structured focus group guide, in which ten healthcare professionals participated. Recordings were transcribed, and then analyzed using an inductive content analysis approach.
Results:
Analysis identified two primary themes: (1) Balancing patient care and minimizing harm, which included subthemes on patient autonomy and concordance, age and surgical intervention, and end-of-life care with invasive procedures; and (2) Aligning treatment with patient values, which encompassed subthemes on understanding patient preferences and values, and addressing patient concordance, lifestyle modification, and challenges of non- concordant patients. One of the most challenging issues they face daily in clinical practice is balancing patient care with minimal complications.
Conclusions:
Vascular healthcare professionals express various concerns during daily vascular surgery practice. The challenges of balancing patient care with minimizing harm along with the patient's values remain a major issue.
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